| NPI | 1639164700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMAL KUMAR TIWARI President/Owner 812-333-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: IN 50004448A) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2007-11-14 |